No.

GENERIC NAME FORM REQUEST Remarks Received at Jkt Office

NEBULIZER MASK AST ADULT

1 PCS 2 Completed 10-May-23
MIC#1885

ATROPINE SULFAS AMP 0.25MG/ML

2 VIAL 20 Completed 10-May-23
1CC BOX100

3 BUSCOPAN AMP CC1 BOX/10 AMP 2 Completed 10-May-23

4 PRIMPERAN AMP CC2 BOX/6 AMP 1 Completed 10-May-23

5 NITROGLYSERIN DINITRATE TAB TAB 10 Completed 10-May-23

6 LASIX TAB MG40 BOX/100 TAB 10 Completed 10-May-23

7 LIPITOR TAB 20MG BOX/30" TAB 20 Completed 10 May & 24 May 23

8 METHYLPREDNISOLONE TAB TAB 30 Completed 10-May-23

FLAGYL FORTE TAB MG500

9 TAB 20 Completed 10-May-23
BOX/100

10 PARACETAMOL/ACETAMINOPHEN TAB 40 Completed 10-May-23

11 IBUPROFEN 400MG TAB TAB 40 Completed 10-May-23

12 MEFINAL 500 mg TAB 100 Completed 10-May-23

13 CAFFEIN, ERGOTAMINE TARTRATE TAB 10 Completed 10-May-23

14 MERISLON/MERTIGO TAB 30 Completed 10-May-23

15 CALADINE LOTION 95 ML BOX/12 BTL 2 Completed 24-May-23

16 CANESTEN CREAM 10GR BOX/50 TUBE 4 Completed 10-May-23

COUNTERPAIN CREAM 15GR

17 TUBE 10 Completed 10 May & 24 May 23
BOX/104

18 SUNBLOCK CREAM SPF30 TUBE 10 Completed 24-May-23

19 SUNBLOCK CREAM SPF50 TUBE 10 Completed 24-May-23

20 TROMBOPHOB GEL TUBE 1 Completed 24-May-23

21 OFLOXACIN EAR DROPS BTL 3 Completed 10-May-23

22 F.G. TROCHES TAB BOX/120" TAB 70 Completed 24-May-23

23 KENALOG IN ORABASE OINT GR5 TUBE 1 Completed 24-May-23

24 VISINE EYE DROP 6 CC BOX/12 BTL 1 Completed 10-May-23

25 DIMENHYDRINATE TAB TAB 20 Completed 10-May-23

26 MEDICAL CHARCOAL TUBE/40TAB TUBE 4 Completed 10-May-23

27 OBH NELCO SPECIAL BTL 1 Completed 10-May-23

28 PANADOL COLD AND FLU CAP 44 Completed 24-May-23

29 RHINOFED TAB BOX/50 TAB 50 Completed 24-May-23

30 ALCOHOL 70% BTL 1 Completed 24-May-23

31 NEBULISER (MAYMIST) UNIT 1 Completed 24-May-23

VANISHPOINT IV CATHETER
32 PCS 2 Completed 24-May-23
RADIOPAQUE 14G (32mm)

ELECTROLYTES (REHYDRATION
33 SACHET 10 Completed 10-May-23
SALTS)

34 VENTOLIN INHALER MCG100 PCS 1 Completed 10-May-23

35 MOVFOR 200MG (2 PACK) TAB 80 Pending

VANISHPOINT SYRINGE 5ml 20G

36 PCS 2 Completed 10-May-23
(38mm)

VANISHPOINT SYRINGE 10ml 20G

37 PCS 2 Completed 10-May-23
(38mm)
 BIOSENSOR/ABBOTT RAPID
38 BOX 2 Completed 24-May-23
ANTIGEN TEST KIT

ACCUCHECK GLUCOSE STRIP

39 BOX 1 Completed 10-May-23
25/BOX (EASYTOUCH)
Total 39

Completed 32

Partial 3

Not receive 4